00482323 | ACETAMINOPHEN | Novo-Gesic Forte Tab 500mg | NOP | 0.0149 | 0.0149 | YES | NO | NO |
00389218 | ACETAMINOPHEN | Novo-Gesic Tab 325mg | NOP | 0.0114 | 0.0114 | YES | NO | NO |
00020885 | AMPICILLIN | Novo-Ampicillin 500mg Cap | NOP | 0.8006 | 0.8006 | YES | NO | YES |
00020877 | AMPICILLIN | Novo-Ampicillin 250mg Cap | NOP | 0.4223 | 0.4223 | YES | NO | YES |
00021997 | ASCORBIC ACID | Novo-C (Not a Benefit) 500mg Tab | NOP | N/A | N/A | YES | NO | NO |
02267845 | AZITHROMYCIN | Novo-Azithromycin 250mg Tab | NOP | 0.9410 | 0.9410 | YES | NO | YES |
00337382 | CLOFIBRATE | Novo-Fibrate (Not a Benefit) 500mg Cap | NOP | N/A | N/A | YES | NO | NO |
02300680 | ENALAPRIL MALEATE | Novo-Enalapril 2.5mg Tab | NOP | 0.1863 | 0.1863 | YES | NO | YES |
00262595 | ERYTHROMYCIN ESTOLATE | Novo-Rythro Estolate 50mg/mL O/L | NOP | 0.0713 | 0.0713 | YES | NO | YES |
00652318 | ERYTHROMYCIN ETHYLSUCCINATE | Novo-Rythro Ethyl Succinate 80mg/mL O/L | NOP | 0.1013 | 0.1013 | YES | NO | YES |
00605859 | ERYTHROMYCIN ETHYLSUCCINATE | Novo-Rythro Ethyl Succinate 40mg/mL O/L | NOP | 0.0669 | 0.0669 | YES | NO | YES |
00595829 | GRAIN & CITRUS FIBRE | Novo-Fibre Tab | NOP | 0.0706 | 0.0706 | YES | NO | NO |
00269034 | HEXAVITAMINS USP | Hexavitamins (Not a Benefit) Tab | NOP | N/A | N/A | YES | NO | NO |
00738824 | HYDROXYZINE HCL | Novo-Hydroxyzin (Not a Benefit) 10mg Cap | NOP | N/A | N/A | YES | NO | NO |
00738832 | HYDROXYZINE HCL | Novo-Hydroxyzin (Not a Benefit) 25mg Cap | NOP | N/A | N/A | YES | NO | NO |
00738840 | HYDROXYZINE HCL | Novo-Hydroxyzin (Not a Benefit) 50mg Cap | NOP | N/A | N/A | YES | NO | NO |
00629359 | IBUPROFEN | Novo-Profen 600mg Tab | NOP | 0.1313 | 0.1313 | YES | NO | YES |
02210479 | IPRATROPIUM BROMIDE | Novo-Ipramide 250mcg/mL Inh Sol-20mL Pk | NOP | 6.3140 | 6.3140 | YES | YES | NO |
02285649 | LEVOFLOXACIN | Novo-Levofloxacin (Off-Formulary Interchangeable) 750mg Tab | NOP | 6.5484 | N/A | YES | NO | NO |
02248262 | LEVOFLOXACIN | Novo-Levofloxacin 250mg Tab | NOP | 1.2038 | 1.2038 | YES | NO | NO |
02248263 | LEVOFLOXACIN | Novo-Levofloxacin 500mg Tab | NOP | 1.3718 | 1.3718 | YES | NO | NO |
00004723 | MERCAPTOPURINE | Purinethol 50mg Tab | NOP | 2.8610 | 2.8610 | YES | NO | YES |
02045710 | METFORMIN HCL | Novo-Metformin 500mg Tab | NOP | 0.0247 | 0.0247 | YES | NO | NO |
00274496 | NICOTINIC ACID | Novo-Niacin (Not a Benefit) 50mg Tab | NOP | N/A | N/A | YES | NO | YES |
02321351 | OLANZAPINE | Novo-Olanzapine OD 10mg Rapid Dissolve Tab | NOP | 0.7143 | 0.7143 | YES | NO | NO |
02321378 | OLANZAPINE | Novo-Olanzapine OD 15mg Rapid Dissolve Tab | NOP | 1.0711 | 1.0711 | YES | NO | NO |
02230394 | OXYBUTYNIN CHLORIDE | Novo-Oxybutynin 5mg Tab | NOP | 0.0986 | 0.0986 | YES | NO | NO |
02326450 | SALBUTAMOL | Novo-Salbutamol HFA 100mcg/Metered Dose Inh-200 dose Pk | NOP | 5.0000 | 5.0000 | YES | NO | NO |
00874086 | SALBUTAMOL | Novo-Salmol (Not a Benefit) 100mcg/Metered Dose Inh-200 dose Pk | NOP | N/A | N/A | YES | NO | NO |
02231182 | SOTALOL HCL | Novo-Sotalol 160mg Tab | NOP | 0.1623 | 0.1623 | YES | NO | NO |
02143305 | VINCRISTINE SULFATE | Vincristine Sulfate 1mg/mL Inj Sol | NOP | 30.6000 | 30.6000 | YES | NO | NO |